The hands are one of the more commonly used organs in daily life and work, and because they are not much protected in most cases and need to be in constant contact with various tools and objects, they are also one of the more injury-prone parts of the body. After hand trauma, some need surgery, and functional exercises after surgery play a vital role in recovery, so what functional exercises should be done after hand trauma?
Finger functional training: first assist the thumb and the rest of the fingers to palm, finger, finger, fist, loose fist functional training, exercise time from five minutes to gradually extend to half an hour, the amount of exercise gradually increased, can be from three times a day, each finger movement 5-10 times, began to gradually extend to several hundred times each exercise, the range of passive activities of the joints to the patient can tolerate.
After hand trauma, functional training should be started 2 weeks after surgery, the purpose of which is to restore the active activities of the wrist, metacarpophalangeal and interphalangeal joints, improve joint mobility, and restore the hand function of the patient to a greater extent.
What functional exercises should be done after hand trauma surgery?
1.Finger function training
First, assist the thumb and the rest of the fingers to carry out the functional training of palm, finger, finger splitting, fist clenching and fist loosening, the exercise time from five minutes to half an hour, the amount of exercise gradually increased, from three times a day, each finger exercise 5-10 times, gradually extended to several hundred times each exercise, the range of passive activities of the joints to the extent that the patient can tolerate.
2. Daily life movement training
After the stitches are removed, the patient can be trained to hold a spoon and eat with his hands. In the first week, a bandage is wrapped around the handle of the spoon to increase the friction, and over time, the patient can be trained to wear clothes, buckles, shoes, laces, nail clipping, etc. until he can take care of himself.
3.Apparatus training
Use grip strength apparatus or sphere to train finger flexors and grip strength, 2-3 times a day, 5-10 minutes each time in the early stage, as the muscle endurance increases, the time can be gradually extended, the longer the exercise, the better.
4.Operational therapy
According to the patient’s interests, hobbies and their own situation to produce some handicraft works, in order to exercise the dexterity of the affected hand, can be simple to complex, early let the patient arrange their own, encourage them to complete independently, such as difficulties can be given appropriate help, handicraft production can be calligraphy, painting, carving, weaving, etc.
5.Skill training
With the gradual recovery of hand function, we should arrange labor skills training similar to the original occupation in a planned manner. Brain workers can practice writing, using the abacus, computer operation, etc.; manual workers can train sawing, planing, nailing boards, loading and unloading trucks, etc.
What should be noted in the post-operative rehabilitation of hand trauma?
1.Fingers should be fixed in a functional position
Hand trauma fixation and dressing, unless due to fracture or tendon injury, the doctor specifically fixed the fingers in the straight position. In general, the fingers should be taken in a flexed position, that is, a slight fist position, this position is not only conducive to the repair of various tissues, but also to prevent the joints of the fingers from stiffening.
2, to avoid the healthy finger “with the tie”
A finger injury, bandaging or fixation must be limited to the finger, do not fix the adjacent healthy finger together, will also occur joint ankylosis, therefore, the healthy finger “accompanied by tying” is very dangerous.
3, to early functional exercise
The key to rehabilitation of hand trauma is the correct functional exercise of finger activities. The specific exercise method and time depends on the different types of hand trauma. Usually early appropriate passive activities can be carried out, and later active exercise should be the main. Patients should exercise under the guidance of a doctor to ensure that neither the hand trauma healing, but also as soon as possible to restore the function of the hand.
4.The use of auxiliary exercise tools
A variety of exercise balls and grip strength device to enhance hand function, especially hand flexibility and muscle strength is very helpful, hand trauma patients in the rehabilitation process, the application of the above-mentioned sports equipment, will be of great help.
5.Physical therapy
A variety of physical therapy can be taken. Such as infrared, ultra-short wave treatment, to promote soft tissue edema, reduce adhesions, softening scars, etc. have a positive effect. Hand trauma patients in the rehabilitation process of auxiliary physical therapy is completely necessary, such as no conditions, can also be hot water bath, the hand in 40-50 ℃ hot water soaking, 1-3 times a day, 10-20 minutes each time.